List Archives

Fri Aug 31 13:54:19 BST 2007

Place a chest tube, watch how much drainage, observe for clinical trend.
Re-CXR after drainage to visualize bullet. I think the discoid object just
to pt right of vertebral column is an EKG electrode.

Andrew

----- Original Message ----- 
From: <SJASMD at aol.com>
To: <trauma-list at trauma.org>
Cc: <sclafans at nychhc.org>
Sent: Thursday, August 30, 2007 10:47 PM
Subject: GSW TO RIGHT CHEST. WHAT IS THE WORKUP OF THIS CASE

> We seem to be having a run of interesting gunshot wounds of the chest at
our
> hospital. I have been in disagreement with the management of many of them
> and look to this site to give me a reality check. Here is another chest
case.
>
> This case is a 35 year old male who sustained a single gunshot wound of
the
> right chest posterolaterally with no exit wound. He presented alert, but
> short of breath . On exam he was normotensive and diminished breath
sounds in the
> right chest.. There was an entry wound in the postero lateral area  of his
> right thorax around the seventh intercostal space. but no exit  wound.
>
> He was sent for a chest xray which i share with you.
>
> next step?
>
> sal
>
>
>
> ************************************** Get a sneak peek of the all-new AOL
at
> http://discover.aol.com/memed/aolcom30tour
>

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GSW TO RIGHT CHEST. WHAT IS THE WORKUP OF THIS CASE